HomeMy WebLinkAbout2301 f st. bp 12-27-115157'7
KERN BUSINESS FORMS -(661) 325.5818 - #6013
BAKERSFIELD FIRE •DEPT.
P rev, en n ery ces
U N I F,I E.D P:R O G R14 M I�N*S P E C Tai O N' C E C K I_ 6 S.T
B E_.R S F I L D
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Bakersfi elIjj_ 93301''
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(661,) 326 :3979 ;
Fax: (6-61Y852-2171,'
FACILI,TY.NAME ..``
INSPECTION DATE,..'.
LNSPECTION TIME `
ADDRESS
P- HONENO.
NO OF EMPLOYEES
Cr-, .
`1 30'1
4,13
'FACILITY, CONTACT
BUSINESS`fD NUMBER
,f `" r 0 ' f
Consent to Inspect Nam /Titl
Has' �... ., ,a, .:� .moo �: ., ., •. ....a.xi... .:,
Plan
,3 „a. ..,. o ':v 4.:” &r A •'. ,. ..... a i, :. . ,,., .. a � , rx, : :. r t :.
r ..... :> , , :..p.,u. .' >. .:xaz r.. :
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❑ :ROUTINE COMBINED` GI , , JOINT AGENCYY' ❑ ' MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION .
C =Compliance:
C \/ ( ). OPERAThON.
C'O`MMENTS .
V =Violation
❑ ..- APPROPRIATE - PERMIT ON "HAND (BMC: 15.65.080) ,
❑ BUS1,IleSS PLAN`CONTACT INFORMATION ACCURATE, ;_(CCR: X729.1)
.❑ VISIBLE ADDRESS., (CFC: 505.1, BMC:'15 52.020)
' El,:: CORRECT. OCCUPANCY (CBC 401`)
j ❑ VERIFICATION.OF INVENTORY;MATERIALS (CCR;c2729.3) ,
M ❑ VERIFICATION OF QUANTITIES (CCR :'2729.4)
❑ "VERIFICATION OF LOCATION,; (CCR :2729.2)
I
PROPER SEGREGATION OF MATERIAL., (CFC: 2704.4 ;
3
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))'
❑ :. VERiFICATION.OF HAZ;MAT TRAINING . (CCR: 2732)
❑ ❑ ;V ERIPICATION`OF ABATEMENT SUPP .LIES" &-PROCEDURES (CCR:.2731(6)).
❑ EMERGENCY PROCEDURES`ADEQl1ATE (CCR: 2731)
❑,. ` .❑ CONTAINERS- PROPERLY LABELED;' :(CCR: 66262.34(f.), CFG .2703:5)
>�
❑ C .-HOUSEKEEPING �(CFC:.304.1)
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.
CFC: 903 & 906
❑., , FIRE PROTECTION ( )
1
r 4Pt� t%t r
❑ : <` `SITE DIAGRAM ADEQUATE & ON HAND (CCR:�2729 2)
l
ANY HA-7A :RDO'US WASTE 'ON SITE? =' ❑ YES NO
Si nature of Re eipt
F�
Explain:
POST ;INSPECTION'INSTRVCTIONS:
• Correct the violations) noted above by,
Signature (thatall v olations.have'been.corrected as rioted) j
all of the violations' sign and return a copy of this page.to: